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Minnesota rates for HCPCS Q4250

Amnioamp-mp per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,979.56 / $2,979.56 / $2,979.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,979.56 / $2,979.56 / $3,068.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $3,633.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,321.33 / $2,814.61 / $2,901.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,863.13 / $2,863.13 / $2,863.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,979.55 / $2,979.55 / $3,268.29
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,927.38 / $2,927.38 / $2,927.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,901.66 / $2,901.66 / $6,394.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,901.66 / $2,901.66 / $6,656.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,979.56 / $2,979.56 / $5,401.35